Dr Tyler J Holley, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Orlando, Florida. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice University Health System, Inc. and his current practice location is
207 W Gore St Ste 302, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 839-8407.
Dr Tyler J Holley is licensed to practice in Florida (license number ME144719) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154760411.
Healthcare Provider's Profile
Full Name | Dr Tyler J Holley |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 15 Years |
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Location | 207 W Gore St Ste 302, Orlando, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Tyler J Holley attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2009
NPI Data:
- NPI Number: 1154760411
- Provider Enumeration Date: 06/20/2013
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880814771
- Enrollment ID: I20230103000907
Medical Identifiers
Medical identifiers for Dr Tyler J Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154760411 | NPI | - | NPPES |
105884500 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7135 (Nebraska) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN25920 (Florida) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 7135 (Nebraska) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | ME144719 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Health System, Inc. | 5294646378 | 526 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyler J Holley allows following entities to bill medicare on his behalf.
Entity Name | University Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler J Holley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tyler J Holley, MD, DDS 207 W Gore St Ste 302, Orlando, FL 32806-1014 Ph: (407) 839-8407 | Dr Tyler J Holley, MD, DDS 207 W Gore St Ste 302, Orlando, FL 32806-1014 Ph: (407) 839-8407 |
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